| NPI | 1902216203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI J RUDOLPH BOLLING Psychiatrist/ Owner 615-828-1402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AL 30986) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |